: Some individuals prefer Cialis (tadalafil) because it remains active in the system for up to 36 hours, providing a larger "window" of effectiveness compared to Viagra's 4-hour window. Medical Considerations Overview of feminizing hormone therapy
: Knowing they can maintain an erection can improve sexual confidence and reduce anxiety related to performance or gender dysphoria . How It Works and What to Expect
: Viagra is a PDE5 inhibitor that increases blood flow to the erectile tissues. It does not increase testosterone levels, so it will not interfere with the feminizing effects of HRT.
